Predicting Transfers to Hemodialysis in Peritoneal Dialysis Patients Using the Surprise Question

Satellite Healthcare

Status: Completed

Conditions: Peritoneal Dialysis

Treatments: Other: no intervention

Study type: Observational

Funder types: Other

Identifiers

NCT04666844

SIH126_PD Suprise Question

Details and patient eligibility

About

The investigators will assess the prediction performance of the modified Surprise Question (Will the participant be surprised if this patient transfers to hemodialysis in the next 6 months?) for identification of peritoneal dialysis at high risk of transfer to hemodialysis. The investigators will also assess the prediction performance of a modified mortality surprise question (Will the participant be surprised if this patient dies in the next 6 months?).

Full description

Physicians and nurses will be asked two questions regarding each of their peritoneal dialysis patients:

1. Will the participant be surprised if this patient transfers to hemodialysis in the next 6 months?
2. Will the participant be surprised if this patient dies in the next 6 months?

Patients will be followed for 6 months for outcomes (with two extra months for ascertainment of outcomes).

Enrollment: 2,019 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Patients:

Inclusion Criteria:

• Incident and prevalent PD population at Satellite Healthcare

Exclusion Criteria:

• Age < 18 years
• Patients already enrolled in hospice
• Patients on PD training
• Patients on backup hemodialysis

Trial design

2,019 participants in 1 patient group

Survey

Description:

Clinicians will be asked to provide responses to the two surprise questions for each of their PD patients.

Treatment:

Other: no intervention